Mercer County Community College Summer Sports Camps
Before-Care / After-Care Registration Form 2010
Print this form.  Mail the signed, completed form with full payment to:

Athletics Department
Mercer County Community College
P.O. Box B
Trenton, NJ 08690

Full payment must accompany registration.

Camper's
Last Name		 First Name
Camper's S.S. # Home Phone
Street Business Phone
City Male or Female?
State & Zip
In the SELECT columns, mark the section(s) you wish to register the camper for:
Before-Care
7:30 - 9 a.m.
Section SELECT Days Cost
086895 June 21-25 $40
086896 June 28 - July 2 $40
086897 July 6-9 $30
086898 July 12-16 $40
087162 July 19-23 $40
084163 July 26 - 30 $40
087164 August 2-6 $40
087165 August 9-13 $40
Before-Care Total $
  After-Care
4 - 6 p.m.
Section SELECT Days Cost
086899 June 21-25 $60
086900 June 28 - July 2 $60
086901 July 6-9 $50
086902 July 12-16 $60
087166 July 19-23 $60
087167 July 26 - 30 $60
087168 August 2-6 $60
087169 August 9-13 $60
After-Care Total $

Method of Payment
$__________ Check or Money Order (combined total for before-care and after-care) payable to MCCC Althetic Foundation  Write camper's name and Social Security number on check. DO NOT SEND CASH.
Charge to: ____ Visa
____ Mastercard
____ American Express
Card Number
 Expiration Date
Cardholder's Name
 Cardholder's Signature
 Charge Amount
$________________

Questions? E-mail athlete@mccc.edu or call (609) 570-3779.